Commercial cadaveric renal transplant: an ethical rather than medical issue

Abstract
Abstract: Donor organ shortage is a universal problem. The organ source has been extended to controversial death‐penalty outlaws in certain countries. It was claimed that commercial transplant had a worse short‐term clinical outcome. The aim of this study is to investigate the long‐term outcome of patients receiving commercial cadaveric renal transplant. Seventy‐five renal transplant recipients receiving long‐term follow‐up were included. Thirty‐one patients received overseas commercial cadaveric transplant. Forty‐four patients had legal domestic transplant in Taiwan. The age of the patients receiving the commercial cadaveric transplant was significantly older than those with legal domestic transplant (commerical vs. legal: 46.1±11.4 vs. 35.6±9.0 yr old, pde novoviral hepatitis, cytomegalovirus infection, and acute rejection. The clinical outcome of overseas commercial cadaveric transplant was not different from the domestic legal transplant. To stop the unethical procedure, ethnicity and humanity are the major concerns.